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• - cl? Full Name Phone <br /> Residence Address Phone <br /> Business Address Phone <br /> (A Part II - Personal Information Form must be filled out and attached for each of these <br /> individuals.) <br /> r\lk The managing partner will be: <br /> The full name, residence address and telephone number of the manager, proprietor or <br /> other agent in charge of the partnership's premises to be licensed. <br /> Full Name <br /> Residence Address Phone <br /> (A Part II - Personal Information Form must be filled out and attached for this individual.) <br /> IF lti±APPLICATION IS FOR A PARTNERSHIP, ATTACH A TRUE COPY OF <br /> . 1 HE PARTNERSHIP AGREEMENT AND A COPY OF 1 HE CER i 1J ICATE OF <br /> TRADE NAME UNDER PROVISIONS OF CHAPTER 333, MINNESOTA <br /> STATUES, CERTIFIED BY nit; CLERK OF DISTRICT COURT. <br /> 0 go If the applicant is a corporation or association, give name of corporation or association, <br /> branch address and phone number, and home office address and phone number. <br /> State of Inc. <br /> Name ear/Qy Tck 5 17,„`c or Assoc. relipin,-fse . <br /> Branch Address WY- Old 8 Phone <br /> Home Office Address ,a Y 8'.P,v!4,,.ti4 Si- . All Phone .�.f - 3 3102 <br /> 0The full names, residence address and telephone numbers of all officers or said <br /> corporation or association. <br /> President Thh ' /4k)fecvCE NCre— <br /> Residence Address 07o2V aeNi)ci rn i-J $1 _ /yS Phone ir/ -33/.2 <br /> AP 4 ., /14.,/ 5 - '/' <br /> . <br /> 3 <br />